How I Do It: A Stepwise Surgical Technique for Fisch Class B Glomus Tympanicum.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 41783957.
- Also identified by DOI 10.1002/lary.70467.
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Abstract
We describe a stepwise retroauricular microsurgical workflow for bulky tympanic paragangliomas, combining circumferential canaloplasty with temporary removal and replacement of the tympanomeatal flap and malleus to optimize exposure and bleeding control. This strategy facilitates early identification of critical structures, stepwise devascularization, and safe tumor excision in bulky lesions extending to the hypotympanum or protympanum. The technique emphasizes operative sequencing and surgical ergonomics in challenging cases.